The History of Medical-Surgical Nursing. Many floor nurses understand the intensity and stress of a code, but that doesn’t match the constant stress of the ICU. M.Sc. Instead of taking the patient to the OR, the surgeon will insert the line at the bedside, using the assigned nurse to assist with the intricacies of the procedure. But for the most part, you help get your patients recovered and ready to go home, while monitoring for any potential post-op complications (Is there an infection? And why? I work on a surgical specialty floor. Surgical nursing, sometimes called perioperative nursing, is a nursing specialty that involves assisting surgeons in the operating room (OR). Specializes in PACU, OR. Time to refresh? The downside? These types of nurses can be found around operating tables all across the word, assisting surgeons with both elective and life-saving procedures. GHGoonette, BSN, RN. Critical Thinking and the Nursing Process Unit II: Medical-Surgical Patient Care Problems 3. :). Medical pts tend to have a lot of comorbidities with a lot of meds and treatments. in Medical-Surgical Nursing degree become skilled … I have no real experience in oncology. Med passes aren't terrible unless a patient also has high blood pressure/blood sugar issues (usually just lovenox/heparin, protonix, colace, and pain meds). The problem is catching up with those q2h assessments, giving all IV push medications, adjusting feeding tubes, watching the vent and drawing blood from a central line. You'll have admissions and discharges throughout the day because surgical patients usually don't stay long unless it's a major surgery or there are complications. And patients that are post-op from knee replacements will go to the ortho floor. Make sure lines are patent by flushing, check your dressings, wounds, and drains. allnurses is a Nursing Career, Support, and News Site. : Director, Medical Surgical Nursing 553011082 Department: Nursing Administration Reports To: Vice President…: Full Time JOB SUMMARY The Director, Medical Surgical Nursing Services is a Registered Professional Nurse who is accountable for assuring the validity of the care administered to patients on assigned clinical areas… On a med-surg floor, you may have IV pumps, sequential compression devices, telemetry boxes, continuous motion machines and other more or less standard equipment of the nursing profession. I have been invited for an interview on a surgical oncology floor, and I intend on asking my interviewers about orientation for new RN graduates (I'm a new grad). Nursing2002: June 2002 - Volume 32 - Issue 6 - p 52-54. Hang new bags of fluids for night shift so they don't hate you. After scrubbing in, surgical techs assist the surgeon by handing them tools and instruments. It usually isn’t a case of calling a doctor so much as walking up to one and asking for an order. In the end, intense things happen in the ICU, and the nurse has to be ready for them. Hopefully someone else can come on here and give you a medical nursing perspective -- I'll get the occasional stage IV bedsore overflow onto my floor, but it's rare. A lot of patients will be very anxious and need more education/reassurance. bsc and Msc nursing courses. The majority of my patients fall into four categories: Surgical/Oncology (ie: masectomies, ostomies, thoracotomies, etc. Good luck with your choice :). A lot of our surgeons prefer the ability to just be on one or two floor for their given focus, rather than running around the entire hospital all day. They are not superior in any way, but experience an entirely different world than med-surg nurses. Medical-surgical nurses provide care to adults with a variety of medical issues or who are preparing for/recovering from surgery. PreK–12 Education; Higher Education; Industry & Professional; Covid-19 Resources; About Us; United States. I work on a transplant med/surg unit. A surgical technologist (commonly called O.R. Have you worked in both? Again, the nurse has to know how to work all of these machines without the help of others. If they are not present, extenders usually are, such as CRNPs and PAs. Gain the knowledge and skills you need to effectively care for adult patients. Dealing with gods--I mean, surgeons. Unfortunately, it was more than I could handle. I have a special place in my heart for geriatric and pulmonary patients, so medical nursing is a great place for me. It's a great floor to work on and always exciting. I lasted exactly three months. Medical/surgical nursing. Which certification is right for me? Medical-surgical nurses, according to the Academy of Medical-Surgical Nurses (AMSN), are registered nurses (RNs) that provide care for adult patients who are acutely ill dealing with medical issues and diseases or who are recovering from surgeries. I'm so curious!! A vast set of skills – knowledgeable in all areas of adult health with excellent skills in assessment, organizational, technical, and prioritization. Navigate by topic area or search to refine. Unfortunately, even many overextended med-surg nurses don’t always have this perk where they work. Brunner and Suddarth’s Textbook of Medical Surgical Nursing book is designed to assist nurses in preparing for their roles and responsibilities in the medical-surgical setting and for success on the NCLEX.. It was very different from telemetry. I've worked on all kinds of med/surg floors and my fav are floors that are strictly surgical. I dread weekends as our surgeons don't do any over the weekend so our census is low and we get the medical patients. Nursing I spent a day in the OR with a surgeon when I first started and he told me "you work on a sophisticated units. I work evening shift which is busybusy because lots of postops are coming up. This is just not so in the ICU. Why do you like medical vs surgical nursing or vice versa? I decided to transfer to our medical ICU to fulfil my dream and see what it was all about. Since 1997, allnurses is trusted by nurses around the globe. Has 5 years experience. Sometimes, a surgeon will ask the surgical tech to assist with simple tasks durin… There was just something about the patients, the equipment and the prestige that always interested me. A nursing diagnosis deals with human response to actual or potential health problems and life processes. Buy; Abstract In Brief. I think I will choose post-surg, based on your descriptions. Surgical tends to be divided into a few different specialty areas, depending on the hospital. In addition to this, you'll be juggling patients on the call bell needing everything from pain medications (after surgery, patients HURT!) Aug 17, 2019 - Explore Julie Fogarty's board "Medical Surgical Nursing", followed by 304 people on Pinterest. LOTS of urology and GI. Lynda is a registered nurse with three years experience on a busy surgical floor in a city hospital. This site complies with the HONcode standard for trustworthy health information: Verify here. Here's a good course. My experiences are indicative of the hospital I worked in, but if you’ve ever wondered what the difference is between Medical-Surgical Nursing and ICU, here are a few points I personally experienced that you may not have considered. Nursing vs. Medicine: Salary and growth. I am a medical-surgical nurse who is more comfortable with medical patients. Medical-surgical nursing may be a broader field than other subsets of nursing, but it’s just as important. We range from lap appys to bladder augmentations to fempop bypasses, masectomies, prostates, bladder slings, hernias, amps etcetc. The department specializes in supervision of care of patients who get admitted with specialized medical and surgical conditions in their 5 wards including bronchoscopy room and burns unit. Medical-surgical nursing has a very long history. Nov 27, 2010. Download for offline reading, highlight, bookmark or take notes while you read Understanding Medical Surgical Nursing. Understanding Medical Surgical Nursing - Ebook written by Linda S Williams, Paula D Hopper. I've also been in float pool, and all our specialty floors that focus on specific surgical interventions also take general medical conditions if the beds are available or the need for overflow occurs, but they will prioritize beds for the specialty floor and move patients based on need for beds. Unit I: Medical-Surgical Nursing Settings 1. We hardly ever see medical patients and when we do they get transferred pretty quickly since the docs are lazy and hate coming to another floor to check on the pt! Currently, med-surg nurses work in a variety of positions both on the hospital floor and beyond. Ideally, these two areas would be separate in a hospital setting. Specializes in ICU, ER, International Disaster Response, PACU. For starters, learning how to operate the ventilator could take up an entire nursing school class. Specializes in Pediatric Cardiology. There are two certification exams offered in the specialty of medical-surgical nursing. Inevitably, at some point, a nurse has to wonder what else they could be doing. My wound care skills are pretty awesome at this point. It isn’t quite like that. Care of Postoperative Surgical Patients 6. For instance, doctors are almost always available on the unit. (I am graduating in August, so I don't have much experience of my own on which to base my choice). Sometimes one patient will have all of these problems at the same time. Any RN who passes the exam becomes a CMSRN. Starting out on a medical-surgical nursing unit is an excellent opportunity to get real experience working with patients dealing with a broad cross section of ailments. I agree with the points the previous poster pointed out. However, I always wanted to work intensive care. Other equipment includes bedside dialysis, aortic balloon pumps and banks of IV pumps. I am glad I wasn't given a choice though because I think I would have hated it, haha. Thanks for your feedback! Always changing and ALWAYS interesting. But we do also take traumas with chest tubes. The Medical-Surgical Nursing Certification Board (MSNCB), a partner organization with the Academy of Medical-Surgical Nurses (AMSN), is the credentialing board for Certified Medical-Surgical Registered Nurses (CMSRN) certification. You will see patients with diabetes, CHF, COPD, cellulitis, renal failure, UTI's, pneumonia, GI bleeds, dementia, etc. Have you been offered both jobs, if so can you shadow, see the kinds of patients they take care of? Written in the award-winning Incredibly Easy! 2. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. This is because of the constantly shifting nature of the ICU patient. - Get there a little early and check 6am vital signs and patient summary. - Quickly go into each room and introduce yourself, check pain levels, and make sure your patient is breathing Let them know you'll be in soon to see them. Medical Surgical Nursing – II Notes/book for BSC Nursing Third Year, INC and RGUHS.. Medical surgical nursing notes/book is written in simple language and available in PDF. Main focus of my pts is pain control, pain control, pain control. :) We do a lot of surgical wound assessments making sure everything is where it should be, no profuse bleeding, neuros intact etc. Our hospital has two surgical floors so our floor sees neurosurg, ENT, urology, and gyn while their floor sees vascular, bariatrics, and general surg. - Check labs and orders while pharmacy restocks the omnicell between 7:30 & 8:00. Evenings are VERY busy because like Jw1724 stated that's when everyone is coming out of the PACU. Although this is certainly not true of all hospitals, med-surg nurses get help on occasion due to high ratios. And which do you prefer? All of the metrics that are supplied have particular meaning and the settings are vitally important to how your patient fares. However, due to severe cuts in nursing staff and hospitals focusing on profit rather than patient care and safety, you often see the two combined. Surgical nurses are registered nurses. Has 7 years experience. Specializes in Geriatrics, Transplant, Education. Students who complete their M.Sc. They must hold either a bachelor of science in nursing degree from a traditional, four-year college or university, an associate degree in nursing from an accredited program at a two-year community college, or a nursing diploma from a teaching hospital. Two patients can be just as stressful as eight on a med-surg floor. I much prefer surgical, since like past posters have pointed out, they come in and generally leave well but I probably would have chosen a medical floor if given the chance just because I didn't have experience in anything else. Do blood sugar coverage as needed for breakfast. With surgical pts you are mainly concerned with pain management and wound/surgical site assessment. The specialty is proudly highlighted right in the credential — Certified Medical-Surgical Registered Nurse. Just weighing up whether to do medical or surgical! But also do plastics, trauma, vascular, etc. & end stage renal disease listed for transplant to post liver and kidney transplants (both live and deceased donors), donor hepatecomy and nephrectomy, Whipple procedure for pancreatic cancer, colorectal medical patients (crohns and colitis flares) and colorectal surgical patients (new ostomies, etc), gen surg patients (appys, choles, thyroidectomies) to a smattering of standard medical patients (pneumonia, uti etc). In some cases, med-surg nurses encounter patients that need q2h assessments. Medical-surgical nursing isn’t just a stepping stone for new nurses anymore. but thank you all for your insights about med and surg nursing! https://www.ausmed.com/cpd/articles/medical-surgical-nursing-and-icu Welcome diversity – can function in diverse health care settings, from hospitals, clinics, MD offices to home care facilities; willingly accept changes and … A medical diagnosis deals with disease or medical condition. Medical-Surgical Nursing Made Incredibly Easy is the practical, best informative book. . In some hospitals, med-surg nurses can call on technicians to handle many problems. I just enjoy it more. You manage a lot of chest tubes, NG tubes, and drains of various types. Ha ha. allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 In some ways, medical-surgical nurses are the backbone of our entire profession. Specializes in Trauma-Surgical, Case Management, Clinic. They have a broad knowledge base and are experts in their practice. Time for a refresher: Brush up on your med/surg nursing skills by taking this quiz. Nurses Are at the Forefront of Patient Care. As a surgical nurse, you might act as a scrub nurse , which involves selecting medical instruments and supplies, as well as passing them to the surgeon. I'm kind of late to this thread. Running to an emergency is just as vital as it is anywhere in the hospital, probably more so for ICU nurses. Medical patients typically have chronic conditions, unlike the acute surgical patients, which means you will be giving them a LOT more medications. She also dealt with patient populations that experienced active chest pain, congestive heart failure, end stage renal disease, uncontrolled diabetes and a variety of other chronic, mental and surgical conditions. And maaaan do I believe him now haha. I had a nice mixture of both telemetry and other general patients, and I learned a lot in my three and a half years working on this floor. To be exact, it was telemetry, which was considered a non-critical discipline in my hospital. Medical-surgical nurses have advanced organizational, prioritization, assessment and communication … lots of us surgeons would rather send our sickest patients to your unit than to the ICU." Our specialty floors like general surgery will still take medical patients (pneumonia, electrolytes, dehydration, etc. According to the Academy of Medical Surgical Nurses (AMSN), Medical-Surgical nursing is “the foundation of all nursing practice”. Thank you! You will give a lot of narcotics, pain is usually the biggest issue post-op. I've worked both. Tech, or Surgical Technician) assists the surgical team before, during, and after an operation. How about a Heparin pill, can that please be invented. About M.Sc. The book provides nurse and nursing student to informative knowledge to provide optimal patient care. In the ICU, both patients need q2h assessments and charting immediately after they are done. As the backbone of the nursing profession,Medical-Surgical nurses make up the largest group of nurses. Becoming a Medical-Surgical Nurse. I don't see a lot of trachs. Surgical nursing focuses on preparation and recovery from surgery. Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy 4. Medical-surgical nurses typically work in hospital units providing this care. Notes/book is prepared for bsc, gnm, P.b or P.c. Read this book using Google Play Books app on your PC, android, iOS devices. We specialize in urology and GI for the most part. Medical-Surgical nursing is a board certified speciality. Nurses often wonder if the grass is greener on the other side. in Medical-Surgical Nursing is a postgraduate nursing programme that deals with training healthcare professional in taking care of families, individuals or a community to maintain or attain optimal health.The duration of this programme is of two years. I enjoy surgical patients for the reasons the other posters listed (I can't tell you a lot about ortho, though). Care of Preoperative and Intraoperative Surgical Patients 5. If they had their gall bladder taken out, is there a bile leak?). 2. United States; United Kingdom; Global; Sign In; Contact Us; Bookbag; Advanced Medical Surgical Nursing. - Assess your patients and do your morning med pass. You become a master of multitasking as a surgical nurse. I also see a lot of potential problems that could escalate into surgeries (ie: partial bowel obstruction). For medical-surgical nurses who are used to having five to eight patients per shift, the idea of “only” having two patients can make them swoon in jealousy. I don't work on a ward, I'm a PACU RN, so my observations are just that-observations! Get a leg up in your medical-surgical nursing class and on the NCLEX examination with this essential study guide. For example, a medical diagnosis of Cerebrovascular Attack (CVA or Stroke) provides information about the patient’s pathology. Other procedures are also done at the bedside, including opening up a CABG patient’s sternal incision on the spot to save a life. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. 1. Medical patients typically have chronic conditions, unlike the acute surgical patients, which means you will be giving them a LOT more medications. Medical nursing focuses on caring for those with illness and disease. For instance, some facilities have IV nurses who can assist with pumps and rounding respiratory therapists who can give breathing treatments. The earning potential for both is also higher than the national average, which was $36,200 in 2015. It may also surprise floor nurses to know that many surgical procedures are done at the bedside and require the nurse’s participation. to assistance getting up to the chair/to the bathroom/etc. From heart to lung, from correctional to preventative, there are almost as many types of patients as there are types of surgeries. Oncology takes a lot of general medical conditions, mostly it seems because if a patient has a current chemo regime at home but are there for a medical condition to be treated like pneumonia or PEG tube replacement, they will go to oncology even if it isn't for the cancer treatment specifically, because the nurses there are infusion-certified and the floor is usually better equipped to handle specific precautions geared towards cancer patients. I was just offered a choice between a post-surg unit and an oncology unit, and I have been agonizing over trying to make up my mind. Specializes in Medical-Surgical / Palliative/ Hospice. Act as a patient advocate – consider patient safety as the top priority by supporting patients in knowing what is in their best interests. style -perfect for those entering or needing a refresher in medical-surgical nursing. As integral parts of healthcare, both nursing and medicine are projected to grow faster than the national average, which the BLS reports as 7 percent. Has 17 years experience. in Medical-Surgical Nursing . Did you do clinicals on either type of floor, what kind of pt did you like then? © 2020 Ausmed Education Pty Ltd (ABN: 33 107 354 441). Sort by. It is complex, temperamental and absolutely necessary to know how to work correctly. I occasionally get people with DVTs who need a heparin drip. - ALWAYS check your patients pain levels, but be sure to do it around 6:00 pm so they're okay during change of shift. She graduated with an Associates degree in Nursing from Mercyhurst College Northeast in 2007 and lives in Erie, Pennsylvania in the United States. . ICU nurses often have to do everything, too, and at a much more stressful level. Education. Give me surgical pts anyday. Caring for Medical-Surgical Patients 2. Download this table as a PDF Good luck! (actually tbh, they're pretty good at my hospital--especially the residents). - Discharge rounds with the MDs/NPs, home care, PT, pharmacy, and social work, where you update them on patient progress, figure out who needs consults where, and approximate discharge date. Has 12 years experience. 3. See more ideas about medical surgical nursing, nurse, surgical nursing. Specializes in Surgical/Stepdown, Home Care. I have a special place in my heart for geriatric and pulmonary patients, so medical nursing is a great place for me. Medical-surgical nursing is the single largest nursing specialty in the United States and beyond. Medical-surgical nursing is a specialty with a distinct body of knowledge, skills, and abilities that are validated by CMSRN certification. Although it seems rather obvious that the patients in the intensive care unit require more intense care, it isn’t until you’ve actually experienced that intensity that you realise how stressful it can be. Oh, and Heparin, you give a lot of it. A surgical nurse is a nursing professional that is trained to be able to assist during both routine and difficult surgical procedures. In a large hospital you will find more specialized medical and surgical floors, but in smaller hospitals there is more of a mix depending on what units have beds available!